Kim, Kenneth Su

Kim, Kenneth Su is an individual health care provider with primary practice located at 47100 Community Plz Suite 100, Sterling VA 20164-1826. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kim, Kenneth Su can be contacted via phone (703) 880-1403.

Contact Information

Primary practice address
47100 Community Plz Suite 100 Sterling VA 20164-1826
Phone: (703) 880-1403
Fax: (703) 880-1404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101234789 Virginia

Profile Details

NPI number 1629264726
LBN Legal business name Kim, Kenneth Su
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2007
Last updated Jan 9th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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